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Published on December 17, 2008

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Real Time Data Entry in the Cardiac Cath Lab at Kettering Medical Center : Real Time Data Entry in the Cardiac Cath Lab at Kettering Medical Center Susie Peil BS, RN Manager Cardiac Outcomes Kettering Medical Center Network Kettering, Ohio Charles F. Kettering : Charles F. Kettering KETTERING INVENTIONS: Electric cash register Electric auto ignition and self-starter for automobiles first appeared on the 1912 Cadillac. Within a few years, Delco produced a complete starting, ignition and lighting system that is credited with the phenomenal rise of the automobile industry. Spark plug Freon for refrigerators and air conditioners. Ridgeleigh Terrace, Kettering's residence in Dayton, was the first air conditioned home in America. Leaded gasoline Quick drying paint for automobiles Safety glass Portable electric generator Four-wheel brakes Automatic transmission Electric railway gate First synthetic aviation fuel Charles F. Kettering Memorial Hospital : Charles F. Kettering Memorial Hospital Richard A. DeWall, MD : Richard A. DeWall, MD Nothing ever built arose to touch the skies unless some man dreamed that it should, some man believed that it could, and some man willed that it must. : Nothing ever built arose to touch the skies unless some man dreamed that it should, some man believed that it could, and some man willed that it must. Charles F. Kettering Nothing ever built arose to touch the skies unless some man dreamed that it should… : Nothing ever built arose to touch the skies unless some man dreamed that it should… 3000 Diagnostic Caths per year 1000 PCI per year 600-650 OHS per year 200 Peripheral Interventions per year 700 EP procedures per year some man believed that it could… : some man believed that it could… and some man willed that it must. : and some man willed that it must. Data collection for ACC and STS in 1997 Late 1997 began writing templates for chart report Physicians could choose dictation or computer generated reports 1998 RIF at hospital, and some retirements Depth of Problem : Depth of Problem Physicians would wait 2-3 weeks to dictate reports Sometimes up to 60-90 days ? chart turn around time Decreased reliability of case report High AR days Accounts Receivable : Accounts Receivable How to address the Problem : How to address the Problem ADT interface pulls demographic data from registration system Tech/RN enters data as case progresses, including procedures, log notes, equipment, VS, medications etc MedInfo Custom Fields : MedInfo Custom Fields Chart Report Template : Chart Report Template Physician ends case, verifies results of case Report template is set to pull data from ACC fields, some custom fields added for use in report generation (H&P, cath lab staff, specific procedure (RHC, LHC, oximetry run etc) CVT/RN generates chart report and procedure log One copy report into chart, one to cath lab office, copies faxed to the cardiologist office Reports can be faxed to referring physician at end of case Report Samples : Cath Cath procedure log Cath/PTCA Cath/PTCA procedure log Report Samples Room Turnover : Room Turnover Overall Impact : Overall Impact Increased reliability of case reports Ability to code the chart and send insurance bill sooner Increased documentation to increase reimbursement Increased collection of risk factors – helps increase predicted risk scores Decreased AR days – hospital has money to spend Rapid assessment of volume of cases by specific case type Rapid volume of cases by physicians Rapid volume of % use of product Rapid volume of use of product by specific vendor Implanted device tracking (pacer, ICD) It's amazing what ordinary people can do if they set out without preconceived notions. :  It's amazing what ordinary people can do if they set out without preconceived notions. Charles F. Kettering Deleted speaker notes : Deleted speaker notes

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